DR. Madeline Fong, DDS
NPI #1194555144 in San Rafael, California
Provider Information
- NPI Number
- 1194555144
- Entity Type
- Individual
- Name
- DR. Madeline Fong, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 5, 2024
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 1523 5TH AVE
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-1806
- Phone
- (415) 453-6277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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